John Derrick (NPI# 1487768016, PAC ID# 6103088950) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1487768016 |
| PAC ID by PECOS | 6103088950 |
| Professional Enrollment ID | I20120424000564 |
| Full Name | John Derrick |
| Address |
5106 Federal Blvd Suite 107 San Diego CA 92105-5454 |
| Phone Number | 6192634625 |
| Gender | M |
| Graduation Year | 1983 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5106 Federal Blvd, Suite 107, San Diego, CA 92105-5454 | 6192634625 |
| Street Address |
5106 FEDERAL BLVD SUITE 107 |
| City | SAN DIEGO |
| State | CA |
| Zip | 92105-5454 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Trung Q Tran | Family Practice | 4139 University Ave, San Diego, CA 92105-1418 | |
| Tuan Nguyen | Internal Medicine | 4141 Fairmount Ave, Suite 201, San Diego, CA 92105-1609 | |
| Richard Ton Tu | Podiatry | 4475 University Ave, San Diego, CA 92105-1731 | |
| Leslie Chen | Optometry | 4475 University Ave, San Diego, CA 92105-1731 | |
| Jennifer Chilyn Li Kaufman | Family Medicine | Family Health Centers of San Diego, Inc | 4874 Polk Ave, San Diego, CA 92105-2026 |
| Rajeshwari Nagaraja | Internal Medicine | Family Health Centers of San Diego, Inc | 4874 Polk Ave, San Diego, CA 92105-2026 |
| Regina H Connell | Internal Medicine | Family Health Centers of San Diego, Inc | 4874 Polk Ave, San Diego, CA 92105-2026 |
| James M Kohan | Internal Medicine | 5550 University Ave, San Diego, CA 92105-2307 | |
| Dorothy E Hairston | Internal Medicine | 5550 University Ave, San Diego, CA 92105-2307 | |
| Linhkieu T Nguyen | Family Medicine | 3575 Euclid Ave, Suite 100, San Diego, CA 92105-2925 | |
| Find all physicians in zip 92105 | |||
| City | SAN DIEGO |
| Zip Code | 92105 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | SAN DIEGO + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on John Derrick.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.